Branch Name _____________________

ACCOUNT OPENING FORM

Applicable for Saving Account, Current Account and Term Deposit ) for Resident / Non Resident Indian Individuals
(PLEASE FILL UP THE COMPLETE APPLICATION FORM IN BLOCK LETTERS)/Please tick (√) wherever applicable.

Customer Category: Individual *Minor Others, Please speciy _______________

Choice of Account: Savings Account Basic Savings Bank Deposit A/c Current Account Term Deposit
PMJDY Non-Resident Others, Please speciy_____________________

Purpose of account opening

Savings Business Purpose Cross border Investments Income Loan Funding
Others, Please speciy ____________________________________________

Documents Required Identity Proo (Any one)

Valid Indian Passport Voter’s Identity Card PAN Card
(showing current residential address)
Valid Driving License Valid NREGA Job Card

Address Proof
Valid Indian Passport Utility Bills (Electricity, Piped Gas, Water, Telephone, Post Paid Mobile not more than 2 months)
Valid Driving License Voter’s Identity Card Property/Municipal Tax Receipt
Bank Account or Post Ofce Savings Bank Letter o Allotment o accommodation rom employer Issued by State
Statement (Not more than 2 months old) or Central government departments, statutory or regulatory bodies,
Documents issued by Government departments public sector undertakings, Scheduled Commercial Banks, Financial
o oreign jurisdictions and letter issued by Institutions and listed companies.
Foreign Embassy or Mission o India Pension Payment Order/Book/ Card issued by Government

Other Mandatory Documents PAN Card/ Form 60/ One photograph CKYC FATCA & CRS- Sel Certifcation
GIR No. o each applicant orm or Individuals

Existing customer Yes No I yes, mention A/c No.

Details of First Applicant /Minor

Title Mr. / Mrs. / Ms. / Dr. (Please select as appropriate)

Full Name

Current Residence Address

Permanent Address

O. Address

Residence Phone Ofce Phone

Mobile

Mailing Address Residence Permanent Overseas Ofce Landmark or Mailing Address

Email ID Gender: Male /Female /Transgender Nationality

Date o Birth D D M M Y Y Y Y Marital Status _________ PAN/GIR No.
(Please fll orm 60 i PAN not available)

CKYC No. GSTIN No.

Father’s Name Mother’s Maiden Name

1
Name o Guardian (in case o Minor fll details o Guardian) Country o Residence _____________________

Educational Qualifcation Graduate Post Graduate Others (Please speciy) _____________________________

Occupation Salaried Sel-Employed Retired Housewie Student Unemployed

Proessional (Such as Doctor, Lawyer, Bankers, Teacher etc.) Others (Please speciy) _____________________________

Organisation MNC Pvt. Ltd. Pub. Ltd. Proprietor

Partnership Others (Please speciy)

If Salaried:
Name o Employer/ Company _________________________________ Job Title/Designation _____________________ Working since _______________

Employers Nature o Business Manuacturing Service Provider Agriculture Real Estate

Trader Others (Please speciy) _____________________________

If Self-Employed/Professional:

Nature o Business Manuacturing Service Provider Agriculture Real Estate

Trader Others (Please speciy) _____________________________

Business Activity _______________________________________________________________

Name o Legal Entity ____________________________________________________________________________________________________________

Related Industry ________________________________________________________________________________________________________________

Location/Address o the business _________________________________________________________________________________________________

Business since ___________________________ Company’s website _____________________________________________________________________

Further details I customer is Retired, Housewie, Unemployed or Student _______________________________________________________________

Source o unds & fnancial inormation:

Estimated annual income (local currency) rom above _________________ Estimated any other Income (local currency) _________________________

Source o other Income __________________________________________ Total estimated Income ___________________________________________

Source/s o Ongoing Funds: Income Investment Bonus Parents Selling assets Loan

Relatives Selling property Others (Please speciy) ___________ _

*Only a natural guardian/lawul guardian appointed by court can open an account on behal o a minor. A natural guardian in frst instance is the ather.

Details of Second Applicant/Guardian•

Personal Information
Existing customer Yes No I yes, mention A/c No.
Title Mr. / Mrs. / Ms. / Dr. (Please select as appropriate)

Full Name

Current Residence Address

Permanent Address

O. Address

Residence Phone Ofce Phone

2
Mobile

Mailing Address Residence Permanent Ofce Landmark or Mailing Address

Email ID Gender: Male /Female /Transgender Nationality

Date o Birth D D M M Y Y Y Y Marital Status _________ PAN/GIR No.

(Please fll orm 60 i PAN not available)

CKYC No. GSTIN No.

Father’s Name Mother’s Maiden Name

Name o Guardian (in case o Minor fll details o Guardian) Country o Residence _____________________

Educational Qualifcation Graduate Post Graduate Others (Please speciy) _____________________________

Occupation Salaried Sel-Employed Retired Housewie Student Unemployed

Proessional (Such as Doctor, Lawyer, Bankers, Teacher etc.) Others (Please speciy) _____________________________

Organisation MNC Pvt. Ltd. Pub. Ltd. Proprietor

Partnership Others (Please speciy) ______________________________________________________________________

If Salaried:
Name o Employer/ Company _________________________________ Job Title/Designation _____________________ Working since _______________
Employers Nature o Business Manuacturing Service Provider Agriculture Real Estate
Trader Others (Please speciy) _____________________________

If Self-Employed/Professional:
Nature o Business Manuacturing Service Provider Agriculture Real Estate
Trader Others (Please speciy) _____________________________
Business Activity _______________________________________________________________
Name o Legal Entity ____________________________________________________________________________________________________________
Related Industry ________________________________________________________________________________________________________________
Location/Address o the business _________________________________________________________________________________________________
Business since ___________________________ Company’s website _____________________________________________________________________
Further details I customer Is Retired, Housewie, Unemployed or Student _______________________________________________________________

Source o unds & fnancial inormation:

Estimated annual income (local currency) rom above _________________ Estimated any other Income (local currency) _________________________

Source o other Income __________________________________________ Total estimated Income ___________________________________________

Source/s o Ongoing Funds: Income Investment Bonus Parents Selling assets Loan

Relatives Selling property Others (Please speciy) ____________

*Only a natural guardian/lawul guardian appointed by court can open an account on behal o a minor. A natural guardian in frst instance is the
ather.

Relationship with the First Applicant _________________________________________

Term Deposit Details: Amount ______________________________ Simple Compound

Period: ____________ Years _________ Month _________ Days Interest Rate _____________ %p.a.

Maturity Instructions*
Auto Rollover (same period) Credit Interest to my/our Barclays A/c No. __________________________ and renew Principal Amount
Credit maturity proceeds to my/our Barclays A/c No _____________________________ Others, please speciy
Deduct TDS Yes No (15 H/15G orm enclosed)
a) Part withdrawal o TD not applicable or preerential deposits. b) Premature withdrawal penalty as applicable. (currently 1 %) *i the maturity
instructions is not given then the fxed deposit will be auto rolled over. *Pre-mature withdrawal o deposits is allowed in event o the death o the
depositor with no pre-mature penalty. In absence specifc Instructions on completion o the Term o automatic renewal, interest will be paid at the
applicable saving bank rate. In case o automatic renewal, I the deposit is prematurely closed or renewed or a period shorter than its remaining
period o the contract, the bank will determine Its own penal interest.

Mode of A/c operations: (Please tick as applicable) Single Jointly By All Either Or Survivor
Any other, please speciy ____________________________

3
 Initial payment details:
International payment ___________________________

Cash to be deposited at the Branch only

Transer rom Barclays A/c No. ______________________________ Cheque No. _______________ Dated ________________

Other Bank Cheque No. ____________ Bank __________________ Branch ___________________ Dated ________________

International wire transer Bank __________________ Branch ___________________ Dated ________________

Local wire transer Bank __________________ Branch ___________________ Dated ________________

Source o Initial unds

Income Bonus Investments Parents Selling Assets Loan Relatives Selling Property

Others: please speciy ____________________________________________________

Other Bank *NRE/NRO/FCNR Account
*Delete as appropriate (Bank details) (cheque/drat number)

Channel Registration: In case o Joint accounts the below acilities are given only i the operating mandate is either or survivor.
I/We wish to apply or the ollowing services

Domestic Debit Card (Only Domestic transactions are allowed on this card)
1st Applicant 2nd Applicant

Debit Card required Yes No Yes No

International Debit Card (Both Domestic & International transactions are allowed on this card)
1st Applicant 2nd Applicant

Debit Card required Yes No Yes No

ATM Card ( or NRO accounts )
1st Applicant 2nd Applicant

Debit Card required Yes No Yes No

SMS Alerts - 1st Applicant Mobile No. 2nd Applicant Mobile No.

Email Alert - Email Id 1 Email Id 2

1st Applicant Mobile No. __________________________ 2nd Applicant Mobile No. __________________________
DNC (Do Not Call) Yes No
Please Note: Subscription to DNC will not impact transactional alerts. DNC registration is applicable only to promotional messages and calls:

1st Applicant Signature 2nd Applicant Signature

Withdrawal limit of Classic card: INR 50,000/- per day through all channels.
Withdrawal limit of Platinum card: INR 200,000/- per day through all channels.
Withdrawal limit of ATM Card: INR 100,000/- per day through all channels.
Passbook/ Statement option - Please tick one o the ollowing. I no option is tick, monthly e-statements to be delivered to
registered e-mail address:

Monthly e-statements - Free e-statements to registered e-mail address given as per account Opening Form.

Monthly Statements - Free monthly physical statements delivered to the mailing address.

Quarterly Statements - Free quarterly physical statements delivered to the mailing address.

Passbook - Please visit our branch to collect/update the same.

MINOR DECLARATION
I hereby declare that the date o birth is ______/ ______/ ______ o the minor who is my _____________________________ and I am his/ her natural
guardian/lawul guardian appointed by the court order dated _________________________ (copy enclosed). I shall represent the said minor in all
uture transactions o any description in the above account until the said minor attains majority. I indemniy the Bank against the claim o the above
minor or any withdrawal/transaction made by me in his/her account.

Signature o Guardian

4
NOMINATION FORM- FORM DA 1
(Nomination under sections 45ZA o the Banking Regulation Act, 1949 and Rule 2(1) o Banking Companies (Nomination) Rules, 1985 in respect o
bank deposits)
I/We (name In block letters and address o the applicants)
Account Number Name Address

Nominate the ollowing person to whom in the event o my/our/minor’s death the amount o the deposit in the above account may be
returned by Barclays Bank PLC.

DETAILS OF THE NOMINEE

Name: Mr /Mrs /Miss Address Relationship with Depositor (I any) Age Date o birth

DETAILS OF NOMINEE FOR NON RESIDENT ACCOUNT AND DEPOSITS

Types of Name o Nominee Address o Nominee Relationship with Age Date o birth
A/C or Deposit A/C holder

NRE Saving

NRO Saving

NRO TD

NRE TD

FCNR TD

In the event the nominee is a minor on this date, I/we appoint Mr./Ms./Mrs. _____________________________________________________________
Residing at _______________________________________________________________________________________________ to receive the amount o
the deposit on behal o the nominee, in the event o my/our/minor (deposit holder’s) death during minority o the nominee

Date D D M M Y Y Y Y Place ____________________________________________

** Signature/ ** Signature /
Thumb impression Thumb impression

“I agree to disclose the name o the nominee on Bank Account Statement and Fixed Deposit Advice” Yes No

Witnesses Mandatory in case o Thumb impression

Name Address Signature

Note: Only an Individual can be nominated.

** Where deposit is made in the name o a minor, the nomination should be signed by a person lawully entitled to act on behal o the minor.

Declaration (in case nomination acility is not required)

I /We hereby confrm that I/we have read and understood the Importance o the nomination acility oered by the bank under the
prevailing law. However, I/we have decided to open the account without the nomination acility.

** Signature/ ** Signature /
Thumb impression Thumb impression

5
Agreement and Authorisation
By signing this application, you, as individual(s) in your own capacity, or as a karta o a hu, or as a partner/authorised signatory o a partnership frm, a company, a trust, a society, or an
entity, as the case may be, named in this application orm - 1) Understand that you are applying to us, a branch o Barclays Bank PLC or banking services, which includes but are not limited
to opening o saving/current/term deposit account and operation thereo through various channels including but not limited to ATM, debit card, internet, banking, phone banking, door step
banking (collectively reerred to as “banking services”) and such other banking services as made available by us rom time to time; 2) Confrm that you have read, understood and agree
to the terms and conditions and schedule o charges applicable to the banking services applied or or availed o by you. In case you, hereinater, apply or or avail o banking services, you
confrm that you will read, understand and accept the terms and conditions and schedule o charges applicable thereto beore applying or or availing o such banking services; 3) Understand
and agree that we may amend or alter the terms and conditions and schedule o charges reerred above and hereinater, rom time to time and you undertake to access our website at
www.barclays.in and keep yoursel updated beore every operation o the account; 4) Confrm that you are duly authorised to sign this application and give the authorisation/confrmation/
acceptance as stated herein; 5) Confrm that any details you have supplied are true and complete. You also agree to provide any Inormation/documents that we may require rom time to
time; 6) Agree and accept that we may need to share or transer data or Inormation about you to any third party service provider, Barclays group companies or afliates, whether located
overseas or In India, who provide services to us In connection with the operation o our business. Any such sharing or transer o Inormation will be done strictly on a confdential basis and
we will endeavour to maintain strict confdentiality o such Inormation. However, we or such third party service providers, whether located In India or overseas, may disclose inormation I
required or permitted by law, rules or regulations or at the request o any public or regulatory authority or i such disclosure is required or the purposes o preventing raud; 7) Agree and
authorise us to exchange, share or part with all the Inormation, data or documents relating to your application and account to banks/fnancial institutions/credit bureaus/agencies/ statutory
bodies/such other persons as we may deem necessary or appropriate as may be required or use or processing o the said inormation/data by such person/s or urnishing o the processed
inormation/data/ products thereo to other banks/fnancial institutions/credit providers/users registered with such persons and shall not hold us liable or use o this inormation; 8) In case
o account(s) held jointly, authorise us to issue the statement o account(s) to the frst account holder; 9) In case o account(s) held jointly, agree that we rely on and update your records
using the inormation urnished by any one o you about the other; 10) Agree to be jointly as well as severally liable or all monies owed to us and the operation o the account(s); 11) Agree
that we may accept or reject your application at our sole discretion and i accepted, the account(s) will only be opened in India; 12) Agree and understand that we will retain the application
orms, and the documents provided therewith, including photographs, and will not return the same to you irrespective whether your application is accepted or rejected; 13) Authorise us to
debit your account(s) or all charges, ees payable by you to us without any urther confrmation rom you; 14) Agree that any modifcation to the mode o operation in your account will be
eected by us and be eective only i authorised in writing or such other means acceptable to us, by all the joint holders to the account(s); and 15) Notwithstanding whatever is stated above,
understand and agree that we may at our sole discretion and ater giving you a notice o at least 15 days; discontinue close the account(s) and/or discontinue all or some o the banking
services completely or partially in respect thereo; 16) Reversal o salary credits: You hereby irrevocably and unconditionally authorise the Bank to, on request o your employer/company,
recover by marking hold unds/ debiting/reversal o credit, any amount credited by and/or on the instructions o the employer/company into your account, with notice to me. You confrm that
the Bank will not be held responsible and liable or any such hold unds/ debit/reversal o credit carried out by the bank ;17) Period o in operation o the account would render your account
being classifed as dormant/Inoperative account; 18) We will intimate you, on commencement o the account and ater a particular period, you will be re-intimated, i your account has been
rendered inoperative due to in activity. 19) In the event o the death o the depositor, premature termination o term deposits would be allowed. Such premature withdrawal would not attract
any penal charge. 20) Code o Commitment - We will tell you when you open your account, what period o in operation o the account would render your account being classifed as dormant/
inoperative account.

I/We hereby provide consent in accordance with Aadhaar Act, 2016 and regulations issued thereunder, or use and/or disclosure/sharing o Aadhaar details with Unique Identifcation
Authority o India (UIDAI) or authorized agencies in accordance with the extant laws and regulations (including in accordance with Prevention o Money Laundering (Maintenance o Records)
Second Amendment Rules 2017). I/We have been given to understand that my/our inormation submitted to Barclays herewith shall not be used or any purpose other than mentioned above,
or as per requirements o law.

Photograph/ Signature Details (Applicant/ Guardian to sign In Boxes)

Photo signed
across

Photo o Sole/First Applicant/Minor Signature o Sole/First Applicant Date: _______________________

Photo signed
across

Photo o Second Applicant/Guardian Signature o Second Applicant/Guardian Date: _______________________

Acknowledgement for Registration of Nomination

Application No.

We have received the nomination rom Mr /Ms

or their account Number (In case o new account please mention New Account)

Date D D M M Y Y Y Y

Place ____________________ Bank Ofcer’s Signature

Note: In the event we are unable to Register nomination details or some technical or want o inormation we shall inorm you o the same. For
queries, please email us at [email protected] or [email protected]

6
FORM No, 60 (See second proviso to rule 114B)
Form or declaration to be fled by an individual or a person (not being a company or frm) who does not have a permanent account number and who
enters into any transaction specifed in rule 114B

1. First Name: Full Name 2. Date o Birth/Incorporation o declarant

Middle Name: D D M M Y Y Y Y
Surname:

3. Father’s Name (in case o individual)

First Name:

Middle Name:

Surname:

4. Flat/Room No. 5. Floor No.

6. Name o Premises 7. Block Name/No.

8. Road/Street/Lane 9. Area/Locality

10. Town/City 11. District 12. State

13. Pin Code 14. Telephone Number (With STD Code) 15. Mobile Number

16. Amount o transaction (Rs.) 17. Date o transaction D D M M Y Y Y Y

18. In case o transaction in joint names, number o persons involved in the transaction
19. Mode o transaction: Cash Cheque Card Drat/Banker’s Cheque Online transer Other
20. Aadhaar Number issued by UIDAI (i available)

21. I applied or PAN and it is not yet generated enter date o application and acknowledgement number D D M M Y Y Y Y
22. I PAN not applied, fll estimated total income (including income o spouse, minor child etc. as per section 64 o Income-tax Act, 1961) or the
fnancial year in which the above transaction is held
(a) Agricultural income (Rs.)

(b) Other than agricultural income (Rs.)

23. Details o document being produced in support o identiy in Column 1 (Reer Instruction overlea)
Document code Document identifcation number Name and address o the authority issuing the document

24. Details o document being produced in support o address in Columns 4 to 13 (Reer Instruction overlea)
Document code Document identifcation number Name and address o the authority issuing the document

Verifcation
I, _______________________________________________ do hereby declare that what is stated above is true to the best o my knowledge and belie. I
urther declare that I do not have a Permanent Account Number and my/ our estimated total income (including income o spouse, minor child etc. as
per section 64 o Income-tax Act, 1961) computed in accordance with the provisions o Income-tax Act, 1961 or the fnancial year in which the above
transaction is held will be less than maximum amount not chargeable to tax.
Verifed today, the ______________ day o ______________ 20_____ Place: ____________ (Signature o declarant)
Note:
1. Beore signing the declaration, the declarant should satisy himsel that the inormation urnished in this orm is true, correct and complete in all
respects. Any person making a alse statement in the declaration shall be liable to prosecution under section 277 o the Income-tax Act, 1961 and
on conviction be punishable, -
(i) in a case where tax sought to be evaded exceeds twenty-fve lakh rupees, with rigorous imprisonment which shall not be less than six months
but which may extend to seven years and with fne;
(ii) in any other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fne.
2. The person accepting the declaration shall not accept the declaration where the amount o income o the nature reerred to in item 22b exceeds the
maximum amount which is not chargeable to tax, unless PAN is applied or and column 21 is duly flled.

7
Instruction:
(1) Documents which can be produced in support o identity and address (not required i applied or PAN and item 20 is flled): -

Sl. Nature of Document Document Code Proof of Identity Proof of Address

A For Individuals and HUF

1. AADHAR card 01 Yes Yes
2. Bank/Post ofce passbook bearing photograph o the person 02 Yes Yes
3. Elector’s photo identity card 03 Yes Yes
4. Ration/Public Distribution System card bearing photograph o the person 04 Yes Yes
5. Driving License 05 Yes Yes
6. Passport 06 Yes Yes
7. Pensioner Photo card 07 Yes Yes
8. National Rural Employment Guarantee Scheme (NREGS) Job card 08 Yes Yes
9. Caste or Domicile certifcate bearing photo o the person 09 Yes Yes
10. Certifcate o identity/address signed by a Member o Parliament or Member 10 Yes Yes
o Legislative Assembly or Municipal Councillor or a Gazetted Ofcer as per
annexure A prescribed in Form 49A
11. Certifcate rom employer as per annexure B prescribed in Form 49A 11 Yes Yes
12. Kisan passbook bearing photo 12 Yes No
13. Arm’s license 13 Yes No
14. Central Government Health Scheme /Ex-servicemen Contributory Health 14 Yes No
Scheme card
15. Photo identity card issued by the government./Public Sector Undertaking 15 Yes No
16. Electricity bill (Not more than 3 months old) 16 No Yes
17. Landline Telephone bill (Not more than 3 months old) 17 No Yes
18. Water bill (Not more than 3 months old) 18 No Yes
19. Consumer gas card/book or piped gas bill (Not more than 3 months old) 19 No Yes
20. Bank Account Statement (Not more than 3 months old) 20 No Yes
21. Credit Card statement (Not more than 3 months old) 21 No Yes
22. Depository Account Statement (Not more than 3 months old) 22 No Yes
23. Property registration document 23 No Yes
24. Allotment letter o accommodation rom Government 24 No Yes
25. Passport o spouse bearing name o the person 25 No Yes
26. Property tax payment receipt (Not more than one year old) 26 No Yes
B For Association of persons (Trusts) 27 Yes Yes
Copy o trust deed or copy o certifcate o registration issued by Charity Yes Yes
Commissioner
C For Association of persons (other than Trusts) or Body of Individuals or Local 28 Yes Yes
authority or Artifcial Juridical Person)
Copy o Agreement or copy o certifcate o registration issued by Charity Yes Yes
commissioner or Registrar o Cooperative society or any other competent
authority or any other document originating rom any Central or State
Government Department establishing identity and address o such person.

(2) In case o a transaction in the name o a Minor, any o the above mentioned documents as proo o Identity and Address o any o parents/
guardians o such minor shall be deemed to be the proo o identity and address or the minor declarant, and the declaration should be signed
by the parent/guardian.
(3) For HUF any document in the name o Karta o HUF is required.
(4) In case the transaction is in the name o more than one person the total number o persons should be mentioned in Sl. No. 18 and the total
amount o transaction is to be flled in Sl. No. 16.

In case the estimated total income in column 22b exceeds the maximum amount not chargeable to tax the person should apply or PAN, fll out
item 21 and urnish proo o submission o application.

8
 For Ofce use only
Mandatory Requirements
Account Number

Customer ID (CIF) _______________________________________________________ Date o profle creation __________________________________

What is your assessment on average balance that the customer Is expected to maintain (reasonable range)? _________________________________

PEP status Yes No

Is this customer, an Ultimate Benefcial Owner o this account? Yes No

I above Is NO, then in what capacity is he/she acting on behal o the customer _____________________________________________
Expected monthly transaction behaviour (local currency)

Transaction types Total Transaction Total transaction Description/Geographic or Description/Geographic or
Amount Count credit transaction debit transaction
Credits Debits Credits Debits

Cash

Cheques

International Transers

Local transers

Expected Totals

Countries where customer has any transaction link __________________________________________________________________________________

KYC Compliance Verifed by: Name ID

Signature Date D D M M Y Y Y Y

Approved by: Name ID

Signature Date D D M M Y Y Y Y
July 2022

9
ADDITIONAL INFORMATION FOR NON RESIDENT ( NR ) CUSTOMERS
1. First applicant’s details (Primary Applicant)
Passport number Place of Issue
Issue date D D M M Y Y Y Y Expiry date D D M M Y Y Y Y Resident Status NRI PIO
Place of visa issue Issue date D D M M Y Y Y Y Expiry date D D M M Y Y Y Y

2. Current Overseas Residence Address (Mandatory)*

Address
Postcode
Country of Residence Email
Telephone number - - Mobile number
Ofce Telephone number

3. Permanent Address In India (Mandatory for Mariners, Optional for Others)*

Address
Postcode
Country Telephone number - -

4. Second/Joint applicant’s details

Resident Status NRI PIO Indian Resident Passport number
Place of issue Issue date D D M M Y Y Y Y Expiry date D D M M Y Y Y Y
Place of visa issue Issue date D D M M Y Y Y Y Expiry date D D M M Y Y Y Y

Other information

5. If already a Barclays Bank India customer

1st Applicant Account No. Account Type Barclays India CIF No.
2nd/Joint Applicant Account No. Account Type Barclays India CIF No.

6. Account selection

Type of account NRE Savings NRO Savings NRE Initial funding amount NRO Initial funding amount
NRE Term Deposit NRO Term Deposit FCNR Term Deposit
Tenor (Years) (Months) (Days) Amount
FCNR Currency GBP(£) US($) EUR(€)
Please tick i you want to avail DTAA beneft on your NRO Term Deposit
For Interest rates of the deposits, please visit our website www.barclays.in

7. Renewal of deposits (to be completed for Term Deposit applications only)

Maturity instructions*
Auto Renewal (Same period) Credit interest to my/our Barclays Ale and renew Principal Amount
Credit maturity proceeds to my I our Barclays A/c
Name as on Barclays A/c Barclays A/c Number
• I the maturity instruction is not given then the fxed deposit will be automatically renewed
• In absence o specifc instructions on completion o the Term o automatic renewal, interest will be paid at the applicable savings bank rate. In case o automatic renewal, i
the deposit is prematurely closed or renewed for a period shorter than its remaining period of the contract. the bank will determine its own penal interest

8. Your Agreement and Authorisation

By signing this application form, you, the individual(s) named in this application form are jointly and severally agreeing to the following:
i. You declare that you are Non-Resident lndian(s) as defned under the Foreign Exchange Management Act, 1999 along with its Regulations as
amended from time to time.
ii. You confrm that any details you have supplied are true and complete.
iii. You authorise us (i) when considering this application to make credit reerence, verifcations about inormation provided by you (ii)to share
information about you and how you manage your account with credit reference agencies. (iii) to share Information with these entities/agencies.
iv. You authorise us to issue you with any cheque books and/or cards to use on your account and, a PIN (Personal Identifcation Number), either now
or in the future. You agree that we may cancel and replace your existing card with another card covered by this agreement and which you are eligible
for at anytime.

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v. You have read and understood the terms and conditions applicable for any additional services and/or products. You understand that it shall be
presumed that you have read and accepted such terms and conditions If you apply or use any of such services and/or products.
vi. No claim will be made by you to any interest on the deposit(s) for any period after the date(s) of the maturity of the deposits. You will abide by the
prevailing regulations and Exchange Controls for the Foreign Currency Non Resident Account, Non Resident External Account and Non Resident
Ordinary Account.
vii. If premature withdrawal is permitted at your request, the payment of interest on the deposit will be allowed only with the prevailing regulations. You
confrm that all debits to your accounts or the purposes o investment and proceeds there o are in compliance with general or special permission
of the Reserve Bank of India.
viii. You will inform Barclays Bank. India regarding change in your residence/address and provide further information “that Barclays Bank. India may require.
ix. The account will be put into use complying with the regulations of India.
x. Agreeing that the account will be subject to Indian tax where applicable.
xi. Agreeing that free transfers of funds to India will be subject to you informing your Barclays Bank branch of your legibility to free NRI transfers by
recording ‘NRI’ in the ‘Special’ instructions’ on the transfer form.
xii. Agreeing that the account will only be opened in India subject to satisfactory documentation and checks.
xiii. You will replace any or all documents in the event of loss in transit when couriered to Barclays Bank India and you agree to indemnify and hold us
harmless from any costs, expenses or loss arising as a result of such loss in transit.
xiv. You understand that your account may be opened ater ew verifcations at our end about documents and inormation provided by you.
xv. You consent to us sharing, at our sole discretion and judgement, your account details with such third parties with whom we may enter into any
arrangement for referring you to them for their products or distributing their products to you.
xvi. Bank reserves the right to reject your application without assigning any reason thereof.
xvii. You undertake to inform us when you and/or joint holder cease to be a NRI.
xviii. You undertake that you will abide by FEMA provisions and all guidelines issued there under from time to time and keep yourself updated with all
changes thereto.
xix. In case term deposits are placed with the Bank with “Either or Survivor” mandate, the Bank will permit premature withdrawal of such deposits by the
surviving joint depositor on the death of the other, only if, there is a joint mandate from the joint depositors to this effect such withdrawal of Term
Deposit will not attract any premature penalty.
xx. Agreeing that we may debit your joint account(s) with cheques and other payment orders authorised by anyone of you.
xxi. Authorising us to supply joint statements in respect of your account.
xxii. Agreeing that we can update our records using information given by anyone of you about the other(s).
xxiii. Agreeing to be individually as well as jointly liable for any money owed to us.
xxiv. Agreeing that any person detailed within this application is entitled to give us consent to conduct a credit reference, fraud or other enquiry on both/
all of you in connection with this application.
xxv. Authorise the bank to pay the nominee the balance of the account in the event of the death of my/ our death on production of the documentation
required under the Indian Law. Further, by signing this agreement you hereby declare that you are a non-resident lndian(s) of Indian origin”.
xxvi. I/We undertake to strictly operate and use the account/deposit and the said banking facilities in accordance with the Exchange Control Regulations
as laid down by Reserve Bank of India (RBI) or any other authority from time to time.
xxvii. I/We understand and agree that the deposits and their payments are governed by the law in effect from time to time in India and the deposit will be
payable only at the Branch in India where the deposit is placed. The Bank shall have the sole discretion to allow the withdrawal of the deposit at any
other Branch in India The Bank shall not be liable to pay the proceeds o the deposit at any Branch or Ofce (including the Head Ofce) outside India.
xxviii. In the event of any failure on our part to comply with all or any of the guidelines/rules/law laid down by RBI, the Bank, Government of India or
any other duly constituted regulatory body or authority. we agree to forfeit all our rights to the account/deposit and the said banking facilities
and further agree to be debarred from holding/operating and using the account/deposit and/or the said banking facilities. In the event of any
default or breach committed by me/us of any of the aforesaid provisions, guidelines, rules, indemnity. terms and conditions or any law of statute,
I/We shall indemniy the Bank o any loss or damage that may be caused to it The Bank may adopt such action, as it deems ft on the happening
of such event. I/We hereby expressly authorise the Bank to disclose at anytime and for any purpose, any information whatsoever relating to my/
our personal particulars, accounts, deposits, transactions or dealings with the Bank. to any court of competent jurisdiction, quasi judicial authority,
law enorcement agency, relevant wing o Central Government or State Government, RBI, Income Tax authortues, Statutory Authorities, fnancial
Institutions, Credit Bureaus/agents/vendors or any company which is an afliate or associate or subsidiary or a Group Company o the Bank.
Declaration under Section 10 (5) o FEMA 1999.
I/We hereby declare that all foreign exchange transactions as may be entrusted by us to the Bank from time to time do not involve and are not
designed or the purpose o any contravention or evasion o the provisions o the aoresaid Act or o any rule, regulation, notifcation, direction or
order made thereunder. I/We also hereby agree undertake to give such information/documents as will reasonably satisfy you about the transaction
in terms of the above declaration. I/We also understand that If I/We refuse to comply with any such requirement or make only unsatisfactory
compliant therewith the Bank shall refuse in writing to undertake the transaction and shall if it has reason to believe that any contravention/evasion
is contemplated by me/us report the matter to RBI.
xxix. I/We hereby provide consent in accordance with Aadhaar Act, 2016 and regulations issued thereunder, for use and/or disclosure/sharing of
Aadhaar details with Unique Identifcation Authority o India (UIDAI) or aughorized agencies in accordance with the extant laws and regulations
(including in accordance with Prevention of Money Laundering (Maintenance of Records) Second Amendment Rules 2017). I/We have been given
to understand that my/our information submitted to Barclays herewith shall not be used for any purpose other than mentioned above, or as per
requirements of law.

9. Person of Indian Origin (PIO) Declaration (If applicable)

I hereby solemnly afrm and declare that I am a Person o Indian Origin (PIO) as defned under Foreign Exchange Management Act, 1999 (FEMA*).
A. I hereby enclose copy of my PIO card bearing no OR
B. I do not have a PIO card, however I satisfy the following condition (please tick the choice applicable to you)
I held an Indian passport in the past OR

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 My parents/grandparents (name) is/was citizen o the
Republic o India by virtue o the Constitution o India or the Citizenship Act 1955 OR
I am the spouse o an Indian citizen or PIO
I further undertake that I shall abide by all applicable laws and regulation with respect to the operation of the account including but not
limited to provisions of FEMA and guidelines issued thereunder.

Date D D M M Y Y Y Y Signature

Second/Joint applicant-Person of Indian Origin (PIO) Declaration

I hereby solemnly afrm and declare that I am a Person o Indian Origin (PIO) as defned under Foreign Exchange Management Act, 1999 (FEMA*).
A. I hereby enclose copy of my PIO card bearing no. OR
B. I do not have a PIO card, however I satisfy the following condition (please tick the choice applicable to you)
I held an Indian passport in the past OR
My parents/grandparents (name) is/was citizen o the
Republic o India by virtue o the Constitution o India or the Citizenship Act 1955 OR
I am the spouse o an Indian citizen or PIO
I further undertake that I shall abide by all applicable laws and regulation with respect to the operation of the account including but not
limited to provisions of FEMA and guidelines issued thereunder.

Date D D M M Y Y Y Y Signature

Ofce use only

Country of sourcing India UAE UK

Branch Name Branch Sort Code - - Branch Outlet Code

Date D D M M Y Y Y Y Staff Signature

10. KYC Documents for Non-Resident Indians (Including PIO/OCI/Marlners)

1.Proof of Identity Self attested copy of Valid Passport

2 NRI Status Verifcation Sel attested copy o any o the ollowing documents:
Valid work/education permit/valid Visa of the country of Resident

In case of PIO/OCI:
1. PIO card (Person of Indian Origin card)
2. OCI card (Overseas Citizen o India card)
3. PIO Declaration as specifed in the NRI account opening orm.
4. Any other proof of Indian Origin to indicate any of the following:
a The person holding Indian Passport any time; or
b. The person or person’s either of parents or grand parents or great grand parents being of Indian
origin.
For Mariners:
Compulsory Documents
1. Valid CDC (Continuous Discharge Certifcate)
2. Declaration Letter
Other documents
For permanent employee:
1. latest Work Contract
2. last Wage Slip (not older than 6 months)
For contract employee:
1. last work contract, not expired more than 5 months before provided CDC is valid or valid visa and
immigration seal on the Passport not older than 6 months held
2. If work contract/letter has expired more than 5 months before- a letter from local agent

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 confrming next date o joining vessel or current work contract/letter.
3 Address Proof- Self attested copy of any one of the following documents:
Current Overseas Residential 1. Valid Passport showing current foreign residential address
2. PIO card (Person of Indian Origin card)
3. OCI card (Overseas Citizen o India card)
Address (Note: P 0 Box 4. Valid work permit (showing current foreign residential address)
Address is not acceptable) 5. Voter’s Identity Card
6. Landline Telephone bill not more than 3 months old
6. Ration Card/Household Card
7. Bank Statement (Account/Investment/Credit Card) not more than 3 months old
8. Utility Bill (Electricity /Gas/Water) not more than 3 months old
9. Valid Overseas Driving License
10. Overseas Resident Permit (Foreign Government issued Identity Card)
11. Any bill/physical communication not more than 12 months old received from Government
Authority
12. Valid Registered Lease Deed I Rent Agreement
13. Copy o Personal Customer Profle report (a system printout generated rom Barclays Bank UK)
signed by the Barclays Bank UK Staff along with the screen copy of the KYC Marker
(Status page) showing as compliant.
14. Letter issued by a oreign University confrming admission and accommodation.
15. Society Bill for monthly dues not more than 3 months old
16. Life insurance policy or Premium renewal notice (both not more than 12 months old)
17. PAN Allotment Letter
4. FATCA & CRS -Sel Certifcation orm or Individuals

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11. Mandate for a third party to give lnstruction concerning the operation of a customer’s account (s)
(Applicable for Non-Resident Individual accounts )

The reverse of this form contains the consent (or handling Personal information for third parties
To BARCLAYS BANK PLC (“You”) Date
D D M M Y Y Y Y
The third party named below (“Mandate Holder’’) is hereby authorised by me/us to give instructions to you (including payment
Instruction) concerning the operation of the following bank account held by me/us with you
Account Name Branch Name
Account Type and Number: NRE Saving Account
(Only one account per mandate form)
Full name o the Mandate Holder authorised to give instructions

I/We state that the Mr/Ms ________________________ in whose favour the mandate is hereby granted is my ____________________ (parent/
spouse/brother/sister)
1. I/We hereby authorise the Mandate Holder
a. to draw cheques, drafts and bankers orders on the account for local payments;
b. to endorse, accept, receive payment or all money due to me/s and deposit eligible to be deposited in my/our account on my/our behalf;
c. to invest into fxed term deposit or other eligible deposits in India rom balance available in my/our account(s) and renew such
deposits or such periods as may be given in writing by the Mandate Holder.
d to operate the account to facilitate making investment in India;
e. to use the ATM Card and cheque book issued in respect of my/our mentioned account; and
f. to request for information from you in relation to the above-named accounts.
2. I/We hereby authorise you to honour all the instructions given by such mandate holder/s as if the same were given by me/us
3. I/We hereby understand, confrm and agree among others the ollowing:
a. instruction to you pursuant to this letter o authority can be given only in writing duly signed by the Mandate Holder;
b. you are under no duty to make enquiries beore acting on any instruction received by you hereunder rom the Mandate Holder
c. this letter of authority shall remain in force until cancelled in writing by me/us;
d. you are authorised to issue an ATM card and cheque book to the Mandate Holder;
e. I /We and the Mandate Holder will comply with the provisions o all the applicable guidelines including the Exchange Control
Guidelines issued by the Reserve Bank o India and Foreign Exchange Management Act 1999 and all regulation thereunder as
application from time to time.
. This acility permits the Mandate Holder to remit unds In oreign currency to the account holder(s);
g. to indemnify you against any, loss claim, action, proceedings, cost, charges and expenses that may be suffered or incurred by you
on account o any activity undertaken by the Mandate Holder pursuant to or in connection with this letter o authority; And
h. the Mandate Holder is not entitled to close the above mentioned account
4. If you cannot visit a branch in India then notarised copies of all relevant documents must be couriered to the branch. I/We have read
and understood all the conditions and hereby agree to comply with the same. I/We further understand and agree the operation of the
account by the attorney shall be permitted only to the extent permitted under the applicable RBI regulation/guidelines and I/we attest
and veriy the signature o the Mandate Holder below.
I/Mandate Holder agree you may use my personal inormation as described below. I agree to be bound by the Customer Agreement in so ar
as it applies to instructions given by me pursuant to this Letter of Authority and to the conduct of the account mentioned above.
Name o the Mandate Holder
Date of birth D D M M Y Y Y Y
Address
Photo

Signature o Mandate Holder

Country of residence Nationality Business activity

Cheque book issuance to mandate holder: Yes No ATM Card issuance to mandate holder: Yes No
Full Name of each account holder Signature of each account holder

(PLEASE NOTE: Where the authority covers an account held in joint names, ALL account holders must sign.)
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 The use of personal Information
You consent to the following
1. We (Barclays Bank) can disclose to and share with and receive from other institutions, credit referencing bureaus, agencies, statutory,
executive, judicial and regulatory authorities, whether on request or under an order therefore, and on such terms and conditions as
deemed ft by us, such inormation concerning the account holder, Mandate Holder and that o the account numbers reerenced on the
reverse (hereinafter collectively referred to as “the Information”).
2. We may need to share or transfer data or information about you to any third party service provider, Barclays group companies or
afliates, whether located overseas or in India, who provides services to us in connection with the operation o our business. Any such
sharing or transer o inormation will be done strictly on a confdential basis and we will endeavour to maintain strict confdentiality o
such inormation. However, we or such third party service providers, whether located in India or overseas, may disclose inormation i
required or permitted by law, rule or regulation or at the request of any public or regulatory authority or if such disclosure is required for
the purposes of preventing fraud
3. We may use the information to inform you by letter, telephone (including sending text message), or email about products and services
which may be of interest to you.

Instructions for submitting the mandate

1. Full name: Please provide frst, middle and last name above or Mandate Holder
2. Ater completing the Mandate orm, send it to the person you wish to appoint as Mandate Holder
3. Mandate Holder to provide the ollowing:
a. Photograph: Paste the Mandate Holder Photograph in space provided
b. Proo o Identity: Provide sel attested copy o any ONE document as evidence rom Mandate Holder:
1. Valid Passport
2. Pan Card
3. Voter’s Identity card (showing current residential address)
4. Valid Driving license
5. Photo Ration Card/Photo House hold card with photograph o the account holder/applicant (showing current residential
address)
6. Identity Card issued by any Government Authority to its employee
7. Pension card (Issued by Government)
8. Senior Citizen card (issued by Government)
c. Proof of address: Provide self attested copy of any ONE document as evidence:
1. Valid Passport
2. Voter’s Identity Card
3. Ration Card/Household Card
4. Telephone bill not more than 3 months old
5. Bank statement (Account/Investment/Credit card) not more than 3 months old
6. Bank Passbook with entries not more than 3 months old
7. Utility (water/electricity/gas) bill not more than 3 months old
8. A letter received from Tax Department not more than 12 months old
9. Notice/Intimation or Tax other levy issued by Government Department
10. Society Bill for monthly dues not more than 3 months old
11. Valid Registered/Notarised Lease Deed/Rent Agreement
a. In case of a person staying in company accommodation, if the rent agreement is not in the name of the person, then a letter
(duly signed and stamped) issued by the company evidencing the company having provided such accommodation to the
customer along with copy of rent agreement/utility bill in the name of the company.
12. Pension Payment Order/Book/Card issued by Government
13. Life insurance policy or Premium renewal notice (both not more than 12 months old)
14. PAN Allotment letter
15. For persons staying with close relatives (e.g. spouse, son, daughter and parents): Valid Identity and Address Proof (as per
above) of such close relative along with a Declaration as per Appendix B8
July 2022

15